Organization Active NPI

Region IV Department of Family and Children Services

  • Transportation Broker
  • Griffin, GA
National Provider Identifier
1972161032
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
REGION IV DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Practice address
242 Odell Rd Ste 5
Griffin, GA 30224-4879
Phone
(770) 233-5523
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kelly Ann Praino
Title
Fiscal Oper MGR
Phone
(770) 233-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

242 Odell Rd Ste 5
Griffin, GA 30224-4879

Mailing address

242 Odell Rd Ste 5
Griffin, GA 30224-4879

National Provider Directory

National Provider Directory

Locations

242 Odell Rd
Ste 5
Griffin, GA 30224
Phone (770) 233-5523

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1972161032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 ODELL RD STE 5",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 ODELL RD STE 5",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244879",
            "telephone_number": "770-233-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IV DEPARTMENT OF FAMILY AND CHILDREN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "PRAINO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FISCAL OPER MGR",
        "authorized_official_telephone_number": "770-233-5523",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.